# WESTERN KENTUCKY UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WKU Institute for Rural Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194066324
- **Authorized official:** MR. MATTHEW HUNT M.A. (DIRECTOR)
- **Authorized official phone:** (270) 745-4138

## Contact information

- **Practice address:** 1906 COLLEGE HEIGHTS BLVD \# 21038, ACADEMIC COMPLEX 201, BOWLING GREEN, KY 42101-1000
- **Practice address phone:** (270) 745-4138
- **Mailing address:** 1906 COLLEGE HEIGHTS BLVD \# 21038, ACADEMIC COMPLEX 201, BOWLING GREEN, KY 42101-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013